CHANGE BEHAVIORAL HEALTH (NPI# 1366782427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366782427 |
| Entity Type | Organization |
| Organization Name | CHANGE BEHAVIORAL HEALTH |
| Practice Address |
2315 Falls Ave Ste 1 Waterloo IA 50701-5736 |
| Practice Telephone | 3192330323 |
| Practice Fax Number | 3192335923 |
| Mailing Telephone | 3192330323 |
| Mailing Fax Number | 3192335923 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |
| Authorized Official Name | MISS SHANNON LEE HARRINGTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3192330323 |
| Authorized Official Credential | BA,MA,MFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 007967 | IA | Agencies |
| Street Address |
2315 FALLS AVE STE 1 |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-5736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538794110 | Mindful Connections, LLC | Community/Behavioral Health | 3731 Pheasant Ln # 203, Waterloo, IA 50701-5215 | 2020-03-04 |
| 1932633609 | Access Evaluation and Education Services, L.L.C. | Community/Behavioral Health | 1903 W Ridgeway Ave, Waterloo, IA 50701-4547 | 2017-04-19 |
| 1114395258 | Hope Tree Counseling Services Inc. | Community/Behavioral Health | 1420 W Donald St, Waterloo, IA 50703-1624 | 2015-09-07 |
| 1023484383 | New Start Behavioral Services | Community/Behavioral Health | 212 E 4th Street, Waterloo, IA 50703-2328 | 2015-08-20 |
| 1538500566 | Healing Harvest Ministries, Inc. | Community/Behavioral Health | 669 S Hackett Rd, Waterloo, IA 50701-5632 | 2013-07-06 |
| 1780977959 | Bakari Behavioral Health Inc. | Community/Behavioral Health | 515 Beech St, Waterloo, IA 50703-3317 | 2011-05-22 |
| 1093006017 | Change Behavioral Health, Inc | Community/Behavioral Health | 501 Sycamore St Ste 623, Waterloo, IA 50703-4651 | 2011-04-25 |
| 1225346893 | 1st Steps To Success | Community/Behavioral Health | 209 Candlewick Rd, Waterloo, IA 50703-1303 | 2010-09-16 |
| 1346395027 | Counseling and Therapy Associates,llc | Community/Behavioral Health | 3120 Kimball Ave, Suite B & C, Waterloo, IA 50702-5272 | 2007-01-24 |
| 1760548440 | Goodwill Industries of Ne Iowa Inc | Community/Behavioral Health | 2640 Falls Ave, Waterloo, IA 50701-5722 | 2006-12-28 |
| Find all providers in WATERLOO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.